Active NPI
Katherine Brinkman, SLP
- Speech-Language Pathologist
- Greenacres, FL
National Provider Identifier
1639720501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA20607
- Practice address
- 6414 13TH Rd S
Greenacres, FL 33415-1401 - Phone
- (561) 478-9900
- NPI assigned
- Sep 23, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | SA20607 | FL | Primary |
Addresses
Primary practice location
6414 13TH Rd S
Greenacres, FL 33415-1401
Mailing address
3320 Eastside Dr
Louisville, KY 40220-3219
Other practice location 1
6830 Overlook Dr
Louisville, KY 40241-6579
Phone (502) 974-5695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA20607 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1639720501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3320 EASTSIDE DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402203219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6414 13TH RD S",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334151401",
"telephone_number": "561-478-9900"
}
],
"practiceLocations": [
{
"address_1": "6830 Overlook Dr",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402416579",
"country_code": "US",
"telephone_number": "502-974-5695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRINKMAN",
"first_name": "KATHERINE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2022-08-18",
"certification_date": "2022-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA20607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.